{{ header }}{{ column_left }}
<div id="content">
  <div class="page-header">
    <div class="container-fluid">
      <div class="float-right">
        <button type="submit" form="form-payment" data-toggle="tooltip" title="{{ button_save }}" class="btn btn-primary"><i class="fas fa-save"></i></button>
        <a href="{{ cancel }}" data-toggle="tooltip" title="{{ button_cancel }}" class="btn btn-light"><i class="fas fa-reply"></i></a></div>
      <h1>{{ heading_title }}</h1>
      <ol class="breadcrumb">
        {% for breadcrumb in breadcrumbs %}
          <li class="breadcrumb-item"><a href="{{ breadcrumb.href }}">{{ breadcrumb.text }}</a></li>
        {% endfor %}
      </ol>
    </div>
  </div>
  <div class="container-fluid"> {% if error_warning %}
      <div class="alert alert-danger alert-dismissible"><i class="fas fa-exclamation-circle"></i> {{ error_warning }}
        <button type="button" class="close" data-dismiss="alert">&times;</button>
      </div>
    {% endif %}
    <div class="card">
      <div class="card-header"><i class="fas fa-pencil-alt"></i> {{ text_edit }}</div>
      <div class="card-body">
        <form action="{{ action }}" method="post" enctype="multipart/form-data" id="form-payment">
          <div class="form-group row required">
            <label for="input-email" class="col-sm-2 col-form-label">{{ entry_email }}</label>
            <div class="col-sm-10">
              <input type="text" name="payment_nochex_email" value="{{ payment_nochex_email }}" placeholder="{{ entry_email }}" id="input-email" class="form-control"/>
              {% if error_email %}
                <div class="invalid-tooltip">{{ error_email }}</div>
              {% endif %}</div>
          </div>
          <div class="form-group row">
            <label for="input-account" class="col-sm-2 col-form-label">{{ entry_account }}</label>
            <div class="col-sm-10">
              <select name="payment_nochex_account" id="input-account" class="form-control">
                {% if payment_nochex_account == 'seller' %}
                  <option value="seller" selected="selected">{{ text_seller }}</option>
                {% else %}
                  <option value="seller">{{ text_seller }}</option>
                {% endif %}
                {% if payment_nochex_account == 'merchant' %}
                  <option value="merchant" selected="selected">{{ text_merchant }}</option>
                {% else %}
                  <option value="merchant">{{ text_merchant }}</option>
                {% endif %}
              </select>
            </div>
          </div>
          <div class="form-group row required">
            <label for="input-merchant" class="col-sm-2 col-form-label">{{ entry_merchant }}</label>
            <div class="col-sm-10">
              <input type="text" name="payment_nochex_merchant" value="{{ payment_nochex_merchant }}" placeholder="{{ entry_merchant }}" id="input-merchant" class="form-control"/>
              {% if error_merchant %}
                <div class="invalid-tooltip">{{ error_merchant }}</div>
              {% endif %}</div>
          </div>
          <div class="form-group row">
            <label class="col-sm-2 col-form-label">{{ entry_template }}</label>
            <div class="col-sm-10">
              <div class="btn-group btn-group-toggle" data-toggle="buttons">
                {% if payment_nochex_template %}
                  <label class="btn btn-outline-secondary active"><input type="radio" name="payment_nochex_template" value="1" checked="checked"/> {{ text_yes }}</label>
                  <label class="btn btn-outline-secondary"><input type="radio" name="payment_nochex_template" value="0"/> {{ text_no }}</label>
                {% else %}
                  <label class="btn btn-outline-secondary"><input type="radio" name="payment_nochex_template" value="1"/> {{ text_yes }}</label>
                  <label class="btn btn-outline-secondary active"><input type="radio" name="payment_nochex_template" value="0" checked="checked"/> {{ text_no }}</label>
                {% endif %}
              </div>
            </div>
          </div>
          <div class="form-group row">
            <label class="col-sm-2 col-form-label">{{ entry_test }}</label>
            <div class="col-sm-10">
              <div class="btn-group btn-group-toggle" data-toggle="buttons">
                {% if payment_nochex_test %}
                  <label class="btn btn-outline-secondary active"><input type="radio" name="payment_nochex_test" value="1" checked="checked"/> {{ text_yes }}</label>
                  <label class="btn btn-outline-secondary"><input type="radio" name="payment_nochex_test" value="0"/> {{ text_no }}</label>
                {% else %}
                  <label class="btn btn-outline-secondary"><input type="radio" name="payment_nochex_test" value="1"/> {{ text_yes }}</label>
                  <label class="btn btn-outline-secondary active"><input type="radio" name="payment_nochex_test" value="0" checked="checked"/> {{ text_no }}</label>
                {% endif %}
              </div>
            </div>
          </div>
          <div class="form-group row">
            <label for="input-total" class="col-sm-2 col-form-label">{{ entry_total }}</label>
            <div class="col-sm-10">
              <input type="text" name="payment_nochex_total" value="{{ payment_nochex_total }}" placeholder="{{ entry_total }}" id="input-total" class="form-control"/>
              <small class="form-text text-muted">{{ help_total }}</small>
            </div>
          </div>
          <div class="form-group row">
            <label for="input-order-status" class="col-sm-2 col-form-label">{{ entry_order_status }}</label>
            <div class="col-sm-10">
              <select name="payment_nochex_order_status_id" id="input-order-status" class="form-control">

                {% for order_status in order_statuses %}
                  {% if order_status.order_status_id == payment_nochex_order_status_id %}

                    <option value="{{ order_status.order_status_id }}" selected="selected">{{ order_status.name }}</option>

                  {% else %}

                    <option value="{{ order_status.order_status_id }}">{{ order_status.name }}</option>

                  {% endif %}
                {% endfor %}

              </select>
            </div>
          </div>
          <div class="form-group row">
            <label for="input-geo-zone" class="col-sm-2 col-form-label">{{ entry_geo_zone }}</label>
            <div class="col-sm-10">
              <select name="payment_nochex_geo_zone_id" id="input-geo-zone" class="form-control">
                <option value="0">{{ text_all_zones }}</option>

                {% for geo_zone in geo_zones %}
                  {% if geo_zone.geo_zone_id == payment_nochex_geo_zone_id %}

                    <option value="{{ geo_zone.geo_zone_id }}" selected="selected">{{ geo_zone.name }}</option>

                  {% else %}

                    <option value="{{ geo_zone.geo_zone_id }}">{{ geo_zone.name }}</option>

                  {% endif %}
                {% endfor %}

              </select>
            </div>
          </div>
          <div class="form-group row">
            <label for="input-status" class="col-sm-2 col-form-label">{{ entry_status }}</label>
            <div class="col-sm-10">
              <select name="payment_nochex_status" id="input-status" class="form-control">

                {% if payment_nochex_status %}

                  <option value="1" selected="selected">{{ text_enabled }}</option>
                  <option value="0">{{ text_disabled }}</option>

                {% else %}

                  <option value="1">{{ text_enabled }}</option>
                  <option value="0" selected="selected">{{ text_disabled }}</option>

                {% endif %}

              </select>
            </div>
          </div>
          <div class="form-group row">
            <label for="input-sort-order" class="col-sm-2 col-form-label">{{ entry_sort_order }}</label>
            <div class="col-sm-10">
              <input type="text" name="payment_nochex_sort_order" value="{{ payment_nochex_sort_order }}" placeholder="{{ entry_sort_order }}" id="input-sort-order" class="form-control"/>
            </div>
          </div>
        </form>
      </div>
    </div>
  </div>
</div>
{{ footer }} 